NUR 125 Final Exam questions with
complete solutions
When should you flush an IV with normal saline? - correct answer ✔✔Every 8 hours to ensure patency
IV Insertion location - correct answer ✔✔Non dominant hand, start low and work your way up, not
below current infusion, avoid antecubital area
Fluid overload S/S - correct answer ✔✔Edema, hypertension, bounding pulse, crackles, weight gain
Phlebitis S/S - correct answer ✔✔inflammation of a vein
—redness, swelling, warmth
Infiltration S/S - correct answer ✔✔Leakage of fluid
—cool, pallor, swelling, pain, burning
Isotonic fluids - correct answer ✔✔Concentration is the same as body fluids, D5W sodium, Ringer,
Lactated Ringer, 0.9% sodium chloride. Fluid loss resulting from diarrhea & vomiting, waiting for blood
products, and fluid loss during surgery
Hypertonic fluids - correct answer ✔✔Concentration is higher than 300 mEq/L, concentrated in dextrose
in water 20%, 30%, 40%, 50%, 70%- sodium chloride solution 3%, 5%, lower cerebral edema
Hypotonic fluids - correct answer ✔✔Concentration is less than 280 mEq/L, 0.45% sodium chloride- use
to replace hypotonic fluid losses, maintenance solution
TNM - correct answer ✔✔tumor-node-metastasis
, Risk factors for cellular regulation - correct answer ✔✔Advancing age, smoking, multiple sex partners,
sun exposure, high fat and low fiber diet, increased alcohol intake
What is the main sign of colon cancer? - correct answer ✔✔Blood in stool
complications of leukemia - correct answer ✔✔Infection, bleeding, anemia
—patient should be on neutropenic precautions
Breast cancer S/S - correct answer ✔✔Dimpling of the skin of the breast, discharge from the nipple,
thickening of breast tissue, dry rash in the areola
Lymphedema interventions - correct answer ✔✔Elevate arm & encourage exercises and ADLs with
affected arm
Alzheimer's - correct answer ✔✔Deficiency of acetylcholine, neurofibrillary tangles, amyloid deposits in
the brain
*nutrition should include small frequent meals with finger foods high in protein and carbohydrates
Dementia - correct answer ✔✔Minor vs. Major tranquilizers- major (to manage anxiety, hostility,
agitation, and paranoia) minor (to manage anxiety and agitation)
*should promote involvement in ADLs with simple directions
Parkinson's - correct answer ✔✔Combination drug therapy to increase the effectiveness includes
carbidopa and levodopa.
S/S— muscle tremors, posture and equilibrium alternations, slow body movements & bradykinesia
Deficiency of dopamine
Delirium - correct answer ✔✔Anyone dealing with a delirium patient should be calm, warm, and
reassuring. Frequent orientation to the surroundings and situation is important as well. *inpatient room
settings: private room with continual supervision, quiet and uncluttered, lighting should be soft and
diffuse to avoid shadows.